Connecting Psychopathology Meta-Structure and Mechanisms

被引:10
作者
Sanislow, Charles A. [1 ]
机构
[1] Wesleyan Univ, Middletown, CT USA
关键词
RDoC; diagnosis; mechanisms; meta-structure; NIMH; RESEARCH DOMAIN CRITERIA; BORDERLINE PERSONALITY-DISORDER; CONFIRMATORY FACTOR-ANALYSES; INTERNALIZING PSYCHOPATHOLOGY; ANXIETY DISORDERS; MENTAL-DISORDERS; MODEL; DSM; CONSTRUCTS; DIAGNOSIS;
D O I
10.1037/abn0000207
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
A persistent challenge for the field of psychopathology has been how to best explain mental disorders and organize clinical symptoms into diagnoses. Meta-structural approaches have clarified fundamental problems and made substantial gains by using covariance structures to organize the nature of clinical symptom patterns. A remaining task is how to specify the connections between these patterns across behavioral, cognitive, and neural mechanisms. Together, meta-structural approaches and the National Institute of Mental Health (NIMH) Research Domain Criteria (RDoC) offer a means to parse out these connections. I comment on the included articles in this special section on psychopathology meta-structure and argue that core dimensions of psychopathology identified with meta-structural approaches can advance the RDoC initiative and that the RDoC framework, in turn, can strengthen structural approaches by providing an organizational scaffold to elucidate the relations of behavioral, cognitive, and neural mechanisms and to relate them to dimensions of human suffering and dysfunction.
引用
收藏
页码:1158 / 1165
页数:8
相关论文
共 59 条
[1]   CLASSIFICATION OF CHILDRENS PSYCHIATRIC SYMPTOMS - A FACTOR-ANALYTIC STUDY [J].
ACHENBAC.TM .
PSYCHOLOGICAL MONOGRAPHS, 1966, 80 (07) :1-&
[2]  
American Psychiatric Association, 2000, FORCE DSM 4 DSM 4 T, V4th ed., DOI 10.1176/dsm10.1176/appi.books.9780890420249.dsm-iv-tr
[3]  
[Anonymous], NIH PUBLICATION
[4]  
Association AP, 1980, DIAGN STAT MAN MENT, DOI [DOI 10.1176/APPI.BOOKS.9780890425596, DOI 10.1176/APPI.BOOKS.9780890425596.DSM04, 10.1176/appi.books.9780890420249.dsm-iv-tr]
[5]   The Nature, Diagnosis, and Treatment of Neuroticism: Back to the Future [J].
Barlow, David H. ;
Sauer-Zavala, Shannon ;
Carl, Jenna R. ;
Bullis, Jacqueline R. ;
Ellard, Kristen K. .
CLINICAL PSYCHOLOGICAL SCIENCE, 2014, 2 (03) :344-365
[6]   Structural equation modelling: Adjudging model fit [J].
Barrett, Paul .
PERSONALITY AND INDIVIDUAL DIFFERENCES, 2007, 42 (05) :815-824
[7]   Multilevel Models From Biology to Psychology: Mission Impossible? [J].
Bilder, Robert M. ;
Howe, Andrew G. ;
Sabb, Fred W. .
JOURNAL OF ABNORMAL PSYCHOLOGY, 2013, 122 (03) :917-927
[8]   The efficacy of 2 different dosages of methylphenidate in treating adults with attention-deficit hyperactivity disorder [J].
Bouffard, R ;
Hechtman, L ;
Minde, K ;
Iaboni-Kassab, F .
CANADIAN JOURNAL OF PSYCHIATRY-REVUE CANADIENNE DE PSYCHIATRIE, 2003, 48 (08) :546-554
[9]   Disorders without borders: current and future directions in the meta-structure of mental disorders [J].
Carragher, Natacha ;
Krueger, Robert F. ;
Eaton, Nicholas R. ;
Slade, Tim .
SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY, 2015, 50 (03) :339-350
[10]   The p Factor: One General Psychopathology Factor in the Structure of Psychiatric Disorders? [J].
Caspi, Avshalom ;
Houts, Renate M. ;
Belsky, Daniel W. ;
Goldman-Mellor, Sidra J. ;
Harrington, HonaLee ;
Israel, Salomon ;
Meier, Madeline H. ;
Ramrakha, Sandhya ;
Shalev, Idan ;
Poulton, Richie ;
Moffitt, Terrie E. .
CLINICAL PSYCHOLOGICAL SCIENCE, 2014, 2 (02) :119-137